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Brody School of Medicine at East Carolina University Division of Forensic Pathology

ECU Brody School of Medicine


Dept of Clinical/Forensic Path Greenville, NC 27858-4354
Telephone 8006828188
Fax 2527443650
REPORT OF AUTOPSY EXAMINATION
DECEDENT
Document Identifier B201705608
Autopsy Type ME Autopsy
Name Mariah Kay Woods
Age 3 yrs
Race White
Sex F
AUTHORIZATION
Authorized By Jeffrey J. Probst PA-C Received From Pender
ENVIRONMENT
Date of Exam 12/04/2017 Time of Exam 09:00
Autopsy Facility ECU Brody School of Medicine Persons Present Jennifer Sosebee, Lt. CSI David Evans,
II, Lt. Detective Linwood Foy and CSI Investigator Matthew Ennis of Onslow County Sheriff's Office
CERTIFICATION
Cause of Death

CHOLORFORM TOXICITY.
The facts stated herein are correct to the best of my knowledge and belief.
Digitally signed by
Karen L. Kelly MD 05 June 2018 16:34
DIAGNOSES
I. Normally-developed female child with:
A. Body weight: 28 pounds (10th percentile).
B. Body length: 35 1/2 inches (between the 10th and 25th percentile).
C. No significant natural disease identified.

II. Traumatic head injuries:


A. Abrasion over the left upper eyelid.
B. Faint purple bruise adjacent to the left lateral canthus.
C. Faint abrasion over the nose.
D. Faint abrasion beneath the chin.
E. Abrasion over the mid-upper lip.
F. Two subgaleal hemorrhages of the posterior/occipital scalp.

III. Additional traumatic injuries:


A. Marked immersion changes of both hands and feet.
B. No histologic evidence of anal or vaginal trauma.

IV. Toxicology:
A. Aortic blood: Positive for caffeine.
B. Peripheral blood: Positive for cholorform (34 mg/L).
C. Lung: Chloroform > 5.0 mg/kg.

V. Additional findings:
A. Central nervous system findings (Dr. Philip Boyer's report) :

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1. Normally developed central nervous system for age.
2. Acute moderate to severe cerebral swelling with hypoxic-ischemic changes. Findings consistent with
global hypoxia-ischemia prior to death.
3. Acute epidural hematomas, rostral cervical spinal cord (etiology uncertain; post-mortem artifact versus
ante-mortem):
a. Left dorsal, rostral cervical spinal cord.
b. Right ventral, rostral cervical spinal cord.
4. Right/left eyes: No soft tissue, optic nerve or retinal hemorrhage.
B. Respiratory system:
1. Early acute pneumonia.
2. Multinucleated giant cells with non-polarizable material.
3. Scattered emphysematous air spaces.
4. Dilated pulmonary lymphatics.
C. Body fluid collections:
1. Ascites (50 milliliters).
2. Bilateral pleural effusions.

IDENTIFICATION
Body Identified By
Accompanying Papers

EXTERNAL DESCRIPTION
Length 35.5 inches
Weight 28 pounds
Body Condition Intact
Rigor Rigor mortis is present in all major muscle groups and easily breaks with pressure.
Livor Non-blanching, red livor mortis is over the anterior body surfaces (most noted over the chest).
Hair The scalp is covered by 12-inch, blonde-brown head hair.
Eyes Both normally-formed conjunctivae and sclerae are without petechial hemorrhages or icterus. Both irides are
hazel are round, symmetric, midposition pupils.
Teeth The upper and lower jaws are covered by age-appropriate natural teeth in good repair.

The following description excludes the later-described injuries.

The body is that of an unembalmed, normally-developed, normally-nourished, white female child whose appearance is
consistent with her reported age. The body is cold to touch after refrigeration. Skin surfaces are smooth.

The head is normocephalic (head circumference = 18 1/2 inches). A 1/2-inch, elliptical, vertical scar is over the right
forehead. Both nostrils are patent with an intact nasal septum. The normally-formed oral mucosal surfaces have intact
frenula. Both external ears are normally formed and positioned without fluid or hemorrhage. A single piercing is in
each earlobe.

The trachea is midline without palpable masses in a symmetric neck. The chest has a normal anterior/posterior
diameter (chest circumference = 19 1/4 inches) with normal infant breast buds and nipples. The normally-formed
abdomen is flat (abdominal circumference = 18 inches) without palpable masses or visible scars. The external genitalia
are those of a normal infant female.

Both normally-formed, symmetric lower extremities have five toes on each foot. The left foot length measures 5 1/2
inches. Both normally-formed, symmetric upper extremities have five fingers on each hand. The normally-formed back
has symmetric musculature and a straight spine.

INJURIES
The body is received in a sealed (seal #2017021447) metallic gray body bag. After opening the silver body bag, the body
is in a white body bag. After opening the white body bag, a yellow, mesh dive bag is then identified. After opening the
dive bag, the body is enclosed in a plaid, zippered couch cushion cover. The couch cushion cover also contains a large
portion of a solid cement material admixed with stones (similar to a curb/parking curb). After opening the couch

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cushion cover, the body is wrapped in three white, plastic, trash bags which are tied around the neck.

I. TRAUMATIC HEAD INJURIES: A faint, diagonal abrasion is over the lateral left upper eyelid. A 1-inch, purple-blue
bruise is lateral to the left lateral canthus. A faint abrasion is over the nose. A faint, 1/2-inch, horizontal abrasion is over
the mid-upper lip. A faint, diagonal abrasion is below the chin.

After reflection of the scalp, 2-3 subgaleal hemorrhages are over the posterior/occipital scalp.

II. ADDITIONAL TRAUMATIC INJURIES: Possible discoloration of the anus is present at 9 o'clock, 12 o'clock and 3
o'clock. The skin of both hands and feet is significantly wrinkled (immersion changes).

DISPOSITION OF PERSONAL EFFECTS AND EVIDENCE


The following items are preserved as evidence
The following items are released as evidence to Lt. David Evans III of Onslow County Sheriff's Office on December 14,
2017 at 0956 hours:
A. One sealed, white envelope containing: DNA standard.
B. One sealed, white envelope containing: pulled head hair.
C. One sealed, white envelope containing: fingernail clippings from the right hand.
D. One sealed, white envelope containing: fingernail clippings from the left hand.
E. One sealed, white envelope containing: material from vulva.
F. One sealed, large, brown paper bag containing:
1. One green, long-sleeve shirt ("1989 Place"). (The shirt was on backwards).
2. One pair of green-gray, striped pants.
3. One pair of white panties.
G. One sealed, completed North Carolina Bureau of Investigation Sexual Assault Kit.
H. One sealed, brown paper bag containing: white plastic bag from around decedent.
I. One sealed, brown paper bag containing: white plastic bag from around decedent.
J. One sealed, brown paper bag containing: white plastic bag from around decedent.
K. One sealed, brown paper bag containing: orange and yellow-plaid, couch cushion cover and red plastic seal
from remains pouch.
L. Two large, red, biohazard bags containing: asphalt/cement block/chunk.

One DNA standard is routinely retained in the case file.

PROCEDURES
Radiographs
Full-body radiographs are completed and reviewed.
Special Evidence Collection
Fingernails from the right and left hands were collected. One North Carolina State Bureau of Investigation Sexual
Assault Kit was completed.

INTERNAL EXAMINATION
Body Cavities
The body is opened using a routine thoracoabdominal incision to reveal minimal fat at the umbilicus. The anterior, red-
brown chest and abdominal muscles are without hemorrhage. The peritoneal cavity contains 50 milliliters of clear,
yellow fluid. After removal of the intact chest plate, the right pleural cavity contains 30 milliliters of clear, straw-colored
fluid. The left pleural cavity contains 20 milliliters of clear, straw-colored fluid. The intact pericardium contains a small
amount of clear, straw-colored fluid. The organs are in their normal anatomic locations.

Cardiovascular System
Heart Weight 74 grams
The epicardial surface is shiny and glistening. From its external features, the heart is normal in size.

The superior and inferior vena cavae and the coronary sinus connect normally to the normal right atrium. The right
atrial appendage is normal without thrombi. The 8.0-centimeter tricuspid valve has normal, thin and delicate valve

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leaflets. The right ventricle is normally formed; the compact myocardium along the mid-posterior wall measures 0.2
centimeter in thickness. The myocardium is dark brown with no gross lesions identified. The right ventricular outflow
tract leads to a normal, 4.0-centimeter pulmonary valve, a normal, main pulmonary artery and normal pulmonary
artery branches. The ductus dimple is identified.

The right and left pulmonary veins connect normally to the normal left atrium. The left atrial appendage is normal
without thrombi. The 6.5-centimeter mitral valve has normal, thin and delicate valve leaflets. The left ventricle is
normally formed; the compact myocardium along the mid-lateral wall measures 0.7 centimeter in thickness. The mid-
ventricular septum measures 0.5 centimeter in thickness. The myocardium is red-brown with no gross lesions
identified. The left ventricular outflow tract leads to a normal, 4.0-centimeter aortic valve, a normal ascending thoracic
aorta, a normal leftward aortic arch with three normal aortic arch arteries and normal descending thoracic and
abdominal aorta.

The ostia of the right and left coronary arteries arise normally from the right and left sinuses of Valsalva and give rise to
coronary arteries with a right dominant distribution patterns. There are no coronary artery abnormalities.

Respiratory System
Right Lung Weight 107 grams
Left Lung Weight 110 grams
The normally-formed epiglottis, vocal cords and proximal trachea are unobstructed. The normally-formed,
unobstructed trachea and mainstem bronchi are lined by a tan mucosal surface and connect normally to normally-
formed lungs. Both lungs have shiny, intact, glistening, pink-maroon pleural surfaces. The spongy, pink-maroon
parenchyma expresses mild amounts of edema with minimal pressure. The normally-formed distal bronchial and
pulmonary artery branches are unobstructed.

Gastrointestinal System
The tongue is normally formed without superficial or deep hemorrhage. The normally-formed, unobstructed esophagus
is lined by a tan, linear mucosal surface coated by aspirated gastric contents and leads to a normally-formed, well-
demarcated gastroesophageal junction. The normally-formed stomach is lined by a tan mucosal surface over flattened
rugal folds and contains 100 milliliters of partially-digested food. The small and large bowel and the appendix are
normal. The normal colon contains normal stool.

Liver
Liver Weight 527 grams
The liver has a smooth, intact, shiny capsular surface. The uniform, rubbery, brown parenchyma is without masses,
nodules or cysts. The normally-formed gallbladder is lined by a dark green, velvety mucosal surface and contains less
than 1 milliliter of viscid, orange bile without stones. Extrahepatic bile ducts are patent.

Spleen
Spleen Weight 60 grams
The spleen has a smooth, easily-wrinkled, intact capsular surface. The uniform, maroon parenchyma is normal in gross
appearance. A 1-centimeter accessory spleen has red parenchyma.

Pancreas
The pancreas is normal in size, shape and gross appearance.

Urinary System
Right Kidney Weight 39 grams
Left Kidney Weight 41 grams
Both capsules strip with ease to reveal red-brown, shiny, lobulated cortical surfaces. The corticomedullary junction is
distinct and the cortex is normal in thickness. Normal medullary pyramids lead to normal pelves and normal caliber,
unobstructed ureters. The normally-formed bladder is lined by a tan mucosal surface and contains 5 milliliters of clear,
yellow urine.

Reproductive System
The normal vagina leads to a normal cervix. The small, triangular uterus has normal serosal, myometrial and

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endometrial layers. Both fallopian tubes and ovaries are normal in size, shape and gross appearance.

Endocrine System
The normally-formed, symmetric thyroid gland is dark brown, uniform and granular in gross appearance. Both
adrenals are normal in size, shape and gross appearance. The pituitary gland is normal in size, shape and gross
appearance.

Neurologic System
Brain Weight 1038 grams
The scalp is reflected using a routine bimastoidal incision to reveal normal subscalpular, subgaleal and temporalis
muscle tissues without hemorrhage. After removal of the intact calvarium, the dural tissues are intact without epidural
or subdural hemorrhage. The symmetric, normally-formed cerebral hemispheres are lined by shiny, glistening, intact
leptomeninges. The floor of the skull is intact without fracture or hemorrhage.

The swollen brain has symmetric cerebral and cerebellar hemispheres covered by intact, glistening leptomeninges. Gyri
are flattened with effacement of sulci. The circle of Willis is normally formed without aneurysm, atherosclerosis or
hemorrhage. The cranial nerves are symmetric.

The brain, eyes and spinal cord are saved for formalin fixation and examination by Dr. Philip J. Boyer, MD, PhD
(neuropathologist). His report follows:

The fixed brain including the proximal-most spinal cord, the remaining spinal cord, and the dura are examined. The
brain weighs 1,435 g unfixed (normal for 3-year-old individual: 1,198-1,316 g)

Dura: Examination of the intracranial dura reveals moderate vascular congestion in sinuses, with transverse sinus
congestion more prominent than that in the superior sagittal sinus. However, there is no evidence of sinus thrombosis.
There is no evidence of epidural or subdural hematoma involving the dura of the skull.
Two areas of epidural hemorrhage are identified on the spinal cord, post-mortem vs. premortem:
1. Left dorsal, rostral cervical region, 0.5 X 0.3 X 0.2 cm, adherent
2. Right ventral, rostral cervical region, 0.2 X 0.1 X 0.1 cm, adherent
There is no evidence of subdural hemorrhage overlying the spinal cord.
Leptomeninges: The meninges are translucent; no significant fibrosis is recognized. There is mild to moderate
congestion of subarachnoid blood vessels. There is no evidence of fibrinopurulent exudate or subarachnoid
hemorrhage.
Cerebral Arteries: There is a normal blood vessel configuration. No abnormality is noted; no aneurysms are identified.

Cranial Nerves: The cranial nerves are symmetrical, normal in distribution. There is no clear compression of cranial
nerve III by the unci.
Cerebral and Cerebellar Swelling: There is severe gyral flattening and mild uncal (medial temporal) grooving bilaterally;
there is no cingulate gyrus/transfalcine herniation; there is severe right cerebellar tonsillar coning but very mild left
cerebellar tonsillar coning; there is very mild upward vermal softening/herniation into the quadrigeminal cistern is
noted. There is severe reduction in lateral ventricle size; mild reduction in size of the fourth ventricle is recognized.
External Examination: As reviewed with Dr. Kelly, an area of focal indentation is noted in the right olfactory region; the
brain was very soft at the time of removal and placed in a hair bonnet; the indentation was fixed in place; sections
through this area are unremarkable; the indentation is considered artifactual. Developmentally, the brain is normal in
configuration Primary, secondary, and tertiary gyri are normally distributed. There is no evidence of a developmental
abnormality. No evidence of atrophy is identified. There is no evidence of infarct or contusion, acute or chronic.
Cross-Sectional Examination: Cross-sections confirm the presence of the above-noted severe gyral flattening and
associated sulcal effacement. The cortical grey matter is within normal limits and lacks specific lesions. Specifically,
there is no evidence of developmental lesion, infarct, or contusion. There is normal white matter volume for age. There
is no evidence of demyelination or of periventricular leukomalacia. Close evaluation of long white matter tracts reveals

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no evidence of acute or chronic diffuse/traumatic axonal injury in the white matter. The basal ganglia and thalami are
normally formed and symmetrical; several congested vessels are noted. The hypothalamus and the mammillary bodies
are unremarkable. The amygdalae and hippocampi are symmetrical and normal in volume; there is no macroscopic
evidence of volume loss or mesial temporal sclerosis.
Ventricular System and Periventricular Region: The lateral ventricles are severely reduced in size, consistent with the
effects of cerebral edema; the third ventricle is normal in appearance; the aqueduct is patent; the fourth ventricle is
mildly reduced in volume. There is no evidence of intraventricular hemorrhage, recent or remote. The periventricular
region is unremarkable with no evidence of previous germinal matrix disruption.
Cerebellum: The cerebellum in normally formed; there is no evidence of foliar atrophy (volume loss), infarct, or
contusion. There is patchy duskiness, consistent with hypoxic-ischemic injury. Scattered congested vessels are
identified. The dentate nuclei are symmetrical.
Brainstem: The midbrain, pons, and medulla are normally formed and symmetrical; the substantia nigra and locus
ceruleus nuclei are non-pigmented, normal for age. Scattered congested blood vessels are identified. There is no
evidence of acute or chronic diffuse/traumatic axonal injury or vascular diffuse injury in the brainstem. There is no
evidence of Duret hemorrhage.
Spinal Cord: The entire spinal cord is examined. As noted above, two areas of epidural hemorrhage are identified on the
spinal cord, post-mortem vs. premortem:
1. Left dorsal, rostral cervical region, 0.5 X 0.3 X 0.2 cm, adherent
2. Right ventral, rostral cervical region, 0.2 X 0.1 X 0.1 cm, adherent
No other abnormality is identified. Specifically, there is no evidence of subdural or subarachnoid hemorrhage.

The right and left eyes were examined. The eyes are normally developed. There is no evidence of hemorrhage or other
abnormality of the orbital soft tissue or the optic nerves. Likewise, there is no evidence of retinal hemorrhage.

Immunologic System
Thymus Weight 17 grams
The tan, lobular parenchyma is normal in gross appearance. Lymph nodes throughout the mediastinum are slightly
enlarged.

Musculoskeletal System
The hyoid bone and the thyroid and cricoid cartilages are intact without fracture or hemorrhage. The anterior, red-
brown neck muscles are without hemorrhage.
The rib cage and pelvis are intact circumferentially without fracture or hemorrhage. The vertebral column has a normal
architecture without abnormality.

MICROSCOPIC EXAMINATION
Microscopic Comment
Summary of sections:
A. Right lung
B. Left lung
C. Uterus
D. Anus 12 to 3 o'clock
E. Anus 3 to 6 o'clock
F. Anus 6 to 9 o'clock
G. Anus 9 to 12 o'clock

Both lungs show normal architecture with dilated lymphatics. The left lung shows prominent peri-bronchial collections
of chronic inflammatory cells and widened interstitial areas. Some alveoli contain acute inflammation including a rare
eosinophil and multinucleated giant cells with cleft-like, non-polarizable material. One focus shows heaped-up
epithelium forming multinucleated giant cells of an alveolus. Dilated, emphysematous airspaces are seen in subpleural

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areas.

The cervical epithelium is intact. Numerous dilated, congested vascular spaces are in the submucosal and in deep
tissues adjacent to the uterus. The anal and rectal mucosal epithelium is intact without injury. No hemorrhage is
identified in underlying tissues.

Central nervous system sections:


AA. Spinal cord, cervical, including areas of epidural hemorrhage
BB. Spinal cord, thoracic
CC. Spinal cord, lumbar
DD. Dorsal root ganglia and nerve roots, additional, cervical to lumbar; pineal
EE. Pons; small portion of cerebellum
FF. Midbrain
GG. Cerebral hemisphere, left frontal lobe, middle gyrus
HH. Cerebral hemisphere, left temporal lobe, superior gyrus
II. Hippocampus, right, at level of the lateral geniculate body
JJ. Hippocampus, left, at level of the lateral geniculate body
KK. Anterior corpus callosum and anterior cingulate gyri
LL. Posterior corpus callosum and posterior cingulate gyri
MM. Right thalamus and posterior limb of internal capsule

AAA. Right eye, sections to include retina and other components of eye
BBB. Right eye, sections to include retina and other components of eye
CCC. Right eye, orbital soft tissue and optic nerve cross section
DDD. Left eye, sections to include retina and other components of eye
EEE. Left eye, sections to include retina and other components of eye
FFF. Left eye, orbital soft tissue and optic nerve cross section

Sections from all blocks are evaluated by H&E stain. Dr. Boyer's comments follow:
Leptomeninges: The leptomeninges are normally formed with no evidence of significant fibrosis, in the range of normal
for age. There is no evidence of hemorrhage, acute or chronic. There is no evidence of an acute, active inflammatory or
infectious process.
Blood Vessels: Histologic evaluation of subarachnoid and intraparenchymal blood vessels reveals normal histologic
anatomy. Vascular congestion varies from mild to severe. Only minimal perivascular blood is noted. No perivascular
cuffs of inflammatory cells are noted.
Cerebral Cortex and White Matter: The cortex is normal developmentally and shows a normal, six neuron layer
architecture. Consistent with the cerebral swelling noted macroscopically, there is evidence of very early hypoxic-
ischemic change with scattered neurons showing cytoplasmic retraction and nuclear pyknosis along with early neuropil
vacuolation. No inflammatory infiltrates or glial changes are noted in response to the ischemic damage. Pertinent
negatives: there is no evidence of neoplasm (primary or metastatic), inflammatory disease, or toxic-metabolic disease
(metabolic gliosis, neuron storage disease). Likewise, there is no evidence of subpial gliosis or perivascular
hemosiderin laden macrophages. The white matter is normally developed for age. There is no evidence of diffuse
(traumatic) axonal injury, acute or chronic, in the long white matter tracks examined as assessed in the standard diffuse
axonal injury series of sections. No mineralizations are identified.
Hippocampus: The hippocampus shows normal developmental features bilaterally. Mild to moderate hypoxic-ischemic
change is noted affecting neurons of the hippocampus and entorhinal cortex, acute in nature with scattered neurons
showing nuclear pyknosis and cytoplasmic retraction in the context of neuropil vacuolation. No inflammatory infiltrates
or glial changes are noted in response to the ischemic damage. Pertinent negatives: there is no evidence of neoplasm,
developmental abnormality, previous trauma, or previous infarct. There is no evidence of hippocampal sclerosis,
subpial gliosis, or diffuse perivascular hemosiderin laden macrophages. Sections of white matter are unremarkable save
for early vacuolation. No mineralizations are identified.

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Periventricular and Ventricular Region: No residual germinal matrix cells are identified. There is no evidence of recent
or chronic intraventricular hemorrhage.
Cerebellum: As evaluated on a small portion of vermis, the cerebellum is normally developed with no residual external
granular layer present. There is early acute ischemic change with focal separation at the Purkinje cell–internal granular
neuron interface. White matter track myelination is appropriate for age.
Brainstem: Histologic evaluation of the midbrain and pons reveals normal developmental features. There is mild acute
ischemic change noted in scattered neurons. White matter track myelination is appropriate for age.
Spinal Cord: Evaluation of the dura of the spinal cord identifies acute hemorrhage within the substance of the epidural
connective tissue, corresponding to the adherent appearance of the blood macroscopically. The hemorrhage is acute;
only a rare neutrophil is identified; lymphocytes and macrophages show no reactive changes; red cells are intact; no
phagocytosis of red cells is identified; no hemosiderin-laden macrophages are identified. There is no evidence of
subdural or subarachnoid hemorrhage, acute, subacute or chronic. Nerve roots and ganglia are developmentally
normal; there is no evidence of hemorrhage within the nerve roots or ganglia; no spheroids are identified. The spinal
cord parenchyma is developmentally normal and intact with no evidence of disruption.
Pineal and Choroid Plexus: Both are normally developed. There is no evidence of hemorrhage in the choroid plexus.

Eyes, Right and Left: The eyes, optic nerves, and associated periorbital adipose and muscles show normal
developmental features. There is no histologic evidence of optic nerve or orbital soft tissue hemorrhage in either eye.
There is moderate to marked congestion of blood vessels in various locations, including in the choroid of the eyes
bilaterally. There is no histologic evidence of intraretinal hemorrhage.

SUMMARY AND INTERPRETATION


On November 27, 2017 at 0626 hours, Onslow County Emergency Operations was called by a Mr. Earl Kimrey. He
stated that when he woke, the 3-year-old daughter (Mariah Woods) of his girlfriend (Kristy Woods) was missing. The
body of Mariah Woods was found in a creek in Pender County on December 02, 2017. The body was wrapped in
multiple bags and weighed down with something heavy. An autopsy was ordered to investigate her death.

Significant autopsy findings showed that Mariah had been wrapped in three white, plastic trash bags tied around her
neck and a plaid couch cushion covered weighed down by a portion of cement curbing. The body of a small female child
showed a faint bruise of the left face, an abrasion of the left upper eyelid, a faint abrasion over the nose, a faint abrasion
beneath the chin, an abrasion of the mid-upper lip and marked immersion changes of the hands and feet. Possible
discoloration of the anus was present at 9, 12 and 3 o'clock. Two to three 1 1/2-inch subgaleal hemorrhages were seen
over the posterior/occipital scalp. No natural disease was seen. The brain was swollen without evidence of trauma. The
cause of death was deferred for additional studies. Histology showed prominent islands of chronic inflammation
surrounding bronchi (left lung) with scattered multinucleated giant cells without polarizable material. Pulmonary
lymphatics were dilated; there was minimal edema. No injury was seen of the cervix or anus by histology. The brain
showed acute hypoxic-ischemic injury. There was no evidence of traumatic injury to the brain, spinal cord or eyes.

Toxicology of aortic blood was positive for caffeine. Peripheral blood was positive for a significantly elevated chloroform
level. Lung tissue showed greater than 5.0 mg/kg of chloroform.

Given the investigative, autopsy and toxicological findings, it is my opinion that Mariah Woods' cause of death was due
to chloroform toxicity.

DIAGRAMS
1. CHILD autopsy diagram

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